Timeliness of Immunization and Compliance Assessment Study
- Conditions
- Vaccinations
- Interventions
- Other: Record keepingBehavioral: Standard Compliance-linked incentivesBehavioral: Intelligent Compliance-linked incentives
- Registration Number
- NCT03428776
- Lead Sponsor
- Johns Hopkins University
- Brief Summary
Although coverage for primary childhood immunizations has improved, a significant proportion of young children and pregnant women living in low-resource settings remain inadequately immunized. While young children receive some primary vaccines, many are never fully vaccinated. Progressive decline in immunizations are in large part attributable to poor follow-up and compliance. Major challenges include maintaining immunization records linked to positive identification of the individual child, incentivizing follow-up and return immunizations and efficiently identifying and targeting non-compliant subjects. Mobile-phone costs have decreased dramatically in the developing world with rapid proliferation of web and mobile-phone connectivity. Novel approaches that integrate these modern technologies with existing resources in low and middle income countries can cost-effectively address these challenges. In this proposal, investigators will evaluate a novel software platform, utilizing biometric identification and of subjects, paired with intelligent and subject-aware, mobile-phone reminders and compliance-linked incentives to improve uptake and coverage of primary vaccinations in young children.
- Detailed Description
A cloud-based, biometric-linked vaccination record, mobile-phone reminder and compliance-linked incentive software platform to provide robust and universal access of vaccinations. The investigators will implement this platform in a low-resource settings with the following features: a) Cloud-based for robust and universal access. b) Biometric-linked for positive identification. c) Digital storage and reporting for transparent view of program operations. d) Global Positioning System (GPS)-linked, allowing rapid assessment of vaccination status of communities. e) Increasing vaccination uptake and coverage by intelligent and subject-aware automated reminders and compliance-linked incentives.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 2065
- Mother (or caregiver) with one or more children ≤24 months in their family will be enrolled
- There will be no exclusion criteria based on race, ethnicity or gender.
- Participants unable or unwilling to comply with the protocol or with any other condition that would impede compliance or hinder completion of the study (e.g. no mobile-phone in the family), or failure to give informed consent would be the only exclusion criteria.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Controls Record keeping Self returns Standard Compliance-linked incentives Standard Compliance-linked incentives Standard mobile-phone reminders and compliance-linked incentives Intelligent Compliance-linked incentives Intelligent Compliance-linked incentives Intelligent mobile-phone reminders and compliance-linked incentives
- Primary Outcome Measures
Name Time Method Timeliness of immunization 12-15 months Defined as the proportion of immunizations administered before the scheduled date or within 14 days of the after scheduled date.
- Secondary Outcome Measures
Name Time Method Immunization rate 12-15 months Calculated for each individual child and defined as the proportion of the total number of immunizations received divided by the total number of immunizations required at the time of measurement (e.g. at enrollment, end of study, etc.).
Trial Locations
- Locations (1)
BUDS
🇮🇳Haryana, India